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Preventive Kidney Stones: Continue Medical Education
Nephrolithiasis is a common health problem across the globe with a prevalence of 15%–20%. Idiopathic hypercalciuria is the most common cause of nephrolithiasis, and calcium oxalate stones are the most common type of stones in idiopathic hypercalciuric patients. Calcium phosphate stones are frequentl...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609393/ https://www.ncbi.nlm.nih.gov/pubmed/28966756 http://dx.doi.org/10.4103/ijpvm.IJPVM_17_17 |
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author | Assadi, Farahnak Moghtaderi, Mastaneh |
author_facet | Assadi, Farahnak Moghtaderi, Mastaneh |
author_sort | Assadi, Farahnak |
collection | PubMed |
description | Nephrolithiasis is a common health problem across the globe with a prevalence of 15%–20%. Idiopathic hypercalciuria is the most common cause of nephrolithiasis, and calcium oxalate stones are the most common type of stones in idiopathic hypercalciuric patients. Calcium phosphate stones are frequently associated with other diseases such as renal tubular acidosis type 1, urinary tract infections, and hyperparathyroidism. Compared with flat abdominal film and renal sonography, a noncontrast helical computed tomography scan of the abdomen is the diagnostic procedure of choice for detection of small and radiolucent kidney stones with sensitivity and specificity of nearly 100%. Stones smaller than 5 mm in diameter often pass the urinary tract system and rarely require surgical interventions. The main risk factors for stone formation are low urine output, high urinary concentrations of calcium, oxalate, phosphate, and uric acid compounded by a lower excretion of magnesium and citrate. A complete metabolic workup to identify the risk factors is highly recommended in patients who have passed multiple kidney stones or those with recurrent disease. Calcium oxalate and calcium phosphate stones are treated by the use of thiazide diuretics, allopurinol, and potassium citrate. Strategies to prevent kidney stone recurrence should include the elimination of the identified risk factors and a dietary regimen low in salt and protein, rich in calcium and magnesium which is coupled with adequate fluid intake. |
format | Online Article Text |
id | pubmed-5609393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56093932017-09-29 Preventive Kidney Stones: Continue Medical Education Assadi, Farahnak Moghtaderi, Mastaneh Int J Prev Med Review Article Nephrolithiasis is a common health problem across the globe with a prevalence of 15%–20%. Idiopathic hypercalciuria is the most common cause of nephrolithiasis, and calcium oxalate stones are the most common type of stones in idiopathic hypercalciuric patients. Calcium phosphate stones are frequently associated with other diseases such as renal tubular acidosis type 1, urinary tract infections, and hyperparathyroidism. Compared with flat abdominal film and renal sonography, a noncontrast helical computed tomography scan of the abdomen is the diagnostic procedure of choice for detection of small and radiolucent kidney stones with sensitivity and specificity of nearly 100%. Stones smaller than 5 mm in diameter often pass the urinary tract system and rarely require surgical interventions. The main risk factors for stone formation are low urine output, high urinary concentrations of calcium, oxalate, phosphate, and uric acid compounded by a lower excretion of magnesium and citrate. A complete metabolic workup to identify the risk factors is highly recommended in patients who have passed multiple kidney stones or those with recurrent disease. Calcium oxalate and calcium phosphate stones are treated by the use of thiazide diuretics, allopurinol, and potassium citrate. Strategies to prevent kidney stone recurrence should include the elimination of the identified risk factors and a dietary regimen low in salt and protein, rich in calcium and magnesium which is coupled with adequate fluid intake. Medknow Publications & Media Pvt Ltd 2017-09-06 /pmc/articles/PMC5609393/ /pubmed/28966756 http://dx.doi.org/10.4103/ijpvm.IJPVM_17_17 Text en Copyright: © 2017 International Journal of Preventive Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Assadi, Farahnak Moghtaderi, Mastaneh Preventive Kidney Stones: Continue Medical Education |
title | Preventive Kidney Stones: Continue Medical Education |
title_full | Preventive Kidney Stones: Continue Medical Education |
title_fullStr | Preventive Kidney Stones: Continue Medical Education |
title_full_unstemmed | Preventive Kidney Stones: Continue Medical Education |
title_short | Preventive Kidney Stones: Continue Medical Education |
title_sort | preventive kidney stones: continue medical education |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609393/ https://www.ncbi.nlm.nih.gov/pubmed/28966756 http://dx.doi.org/10.4103/ijpvm.IJPVM_17_17 |
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